Senior Health Economics Analyst

ChenMed LLC; United States; On-site; USD 77,000 - 110,000; Full time

Benefits offered by this job

Bonuses or commissions

Comprehensive benefits

Career development opportunities

Job summary

ChenMed LLC is seeking a Senior Health Economics Analyst to deliver data-driven insights and analytics to executive leadership. You will serve as the primary medical cost analytics consultant to Finance, Clinical, Operations, and Specialty Care and will make strategic recommendations based on Medicare Advantage and healthcare data.

The role emphasizes developing KPI dashboards, ROI analyses, and cost benchmarks to support profitability and budget targets.

Qualifications

• Bachelor's degree in Finance, Data Analytics or Economics; MBA preferred.
• Minimum of four years of related experience in healthcare economics or cost analytics.
• Experience with Medicare Advantage knowledge a plus.
• Strong analytical and communication skills.

Responsibilities

• Analyze enrollment, revenue, and claims data to improve financial results.
• Partner with finance to benchmark medical cost trends.
• Design and evaluate KPIs for company growth and evolution as we scale.
• Prepare medical cost data and develop presentations for executive leadership.
• Interpret results and recommend actions to maximize profitability.
• Track medical cost KPIs for divisions.
• Collaborate with Analytics and IT to validate data and enhance reports and tools.
• Build strong relationships with leaders to support issue resolution.
• Support planning with medical cost targets and projections.
• Analyze emerging medical cost results and forecast impact on future periods.
• Prepare ad-hoc analyses for executive leadership.
• Understand economic impact of ChenMed’s model and external factors.
• Perform other duties as assigned.

Skills

Analytical thinking

Financial modeling

Data storytelling

Communication

Independent judgment

Education

Bachelor’s degree in Finance, Economics or related field

MBA preferred

Tools

PowerBI

SQL

Excel

QlikView

Job description

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support to executive leadership of ChenMed. Success in the role will be achieved through the ability to leverage data and analytic skills to create business intelligence - identifying risks to be mitigated or opportunities to be seized. The incumbent serves as the primary medical cost analytics consultant to our Finance, Clinical, Operations, and Specialty Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact and advancement within the Finance organization and the broader enterprise.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results.
• Partners with finance and business leaders to create benchmarks to monitor medical cost trends and variances.
• Assists in the design and evaluation of company KPIs for potential replacement or evolution as the company grows.
• Prepares and analyze medical cost and leading indicator data to develop presentations for executive management.
• Interpret results and articulate actionable recommendations that maximize profitability and ensure financial targets are achieved.
• Tracks performance of medical cost Key Performance Indicators (KPIs) for assigned Divisions/Departments.
• Leverages data analytics and modeling to test, validate and track return of investment of existing and proposed medical cost strategies and initiatives.
• Works with Analytics and IT teams to validate data, enhance medical cost reports and tools, and help design new products for enterprise consumption.
• Builds strong and trusting relationships with leaders to support problem resolution and ensure overall awareness of medical cost issues and challenges.
• Supports finance in the annual and multi-year planning process including development of medical cost targets, key metrics, and projections.
• Analyzes emerging medical cost results and forecast the impact of those results on future periods (including identification and execution of actions to improve those results).
• Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership.
• Develops a deep understanding of the economic impact of the components, drivers, and indicators of the ChenMed core model and external factors.
• Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES

• Strong analytical, problem-solving, critical-thinking, communication, and relationship skills.
• Effective organization skills with the ability to work in a very fast-paced, team-oriented environment with minimal supervision.
• Ability to interpret the needs of the organization and communicate actionable insights through analytics.
• Ability to develop presentations to drive action/impact.
• Ability to model financial concepts of ROI, IRR, etc.
• Strong financial acumen, problem-solving and analytical skills with keen attention to detail and accuracy.
• Ability to analyze multiple data sources to develop deep understanding of market dynamics, identify and prioritize opportunities, and spot trends.
• Extensive knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs.
• Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc).
• Experience with PowerBI, Qlikview & SQL preferred.
• Spoken and written fluency in English.
• This job requires use and exercise of independent judgment.

EDUCATION AND EXPERIENCE CRITERIA

• Bachelor’s degree: experience may substitute for education on a year-for-year basis above the minimum experience required.
• Bachelor’s degree in Finance, Data Analytics or Economics and/or MBA preferred.
• Minimum of four (4) years of related experience.
• Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred.

PAY RANGE: $76,732 - $109,617 Salary The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Who We Are

ChenMed is a family-owned, family-oriented organization committed to bringing superior health care to moderate-to-low income seniors.

Our vision: To positively change American healthcare through primary care innovation for the neediest populations.

Our mission: To provide a convenient, patient-centered environment that fosters enduring relationships between doctors, staff and patients and delivers superior outcomes and a compassionate experience.

We will create a healthcare system specifically for our patients' needs through dedicated doctors, a supportive team, and customized technology, and achieve value through scalable innovation, resourcefulness and accountability.

Our patient promise: You are the reason we are here. Your coordinated healthcare and well-being is our focus. Like a member of our family, we will take care of you in good times and in times of need.

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